Operate, actions

Actions

Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.

Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed

Actions

26,640 derived from the last resolution run

TypeAllEligibility conflict resolved1,339Orphan claim re-pointed9,112Outreach address corrected2,993Outreach suppressed pending steward4,326Care coordination outreach1,815New member onboarding2,081Duplicate member record retired4,974
StatusAllProposed8,228Executed14,086Held4,326Released0
Duplicate member record retired, Member services, 0 proposed
ActionTypeTitleDetailLinked toStatusExecuted
ACT-024167
Duplicate member record retired
Member services
Gabriel Burton: 2 enrollment records collapsed into UHC-90561-32
Enrollment records
2
Member id
UHC-90561-32
MBR-016531
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024168
Duplicate member record retired
Member services
Kayla Sims: 2 enrollment records collapsed into UHC-89313-41
Enrollment records
2
Member id
UHC-89313-41
MBR-016561
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024169
Duplicate member record retired
Member services
Kenneth Hill: 2 enrollment records collapsed into UHC-32074-01
Enrollment records
2
Member id
UHC-32074-01
MBR-016566
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024170
Duplicate member record retired
Member services
Megan Maqruez: 2 enrollment records collapsed into UHC-86538-02
Enrollment records
2
Member id
UHC-86538-02
MBR-016581
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024171
Duplicate member record retired
Member services
Jeremy Castillo: 2 enrollment records collapsed into UHC-29703-02
Enrollment records
2
Member id
UHC-29703-02
MBR-016588
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024172
Duplicate member record retired
Member services
Joan Ferguson: 2 enrollment records collapsed into UHC-48591-61
Enrollment records
2
Member id
UHC-48591-61
MBR-016612
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024173
Duplicate member record retired
Member services
Raymond Armstrong: 3 enrollment records collapsed into UHC-54364-17
Enrollment records
3
Member id
UHC-54364-17
MBR-016620
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024174
Duplicate member record retired
Member services
Steven Hunter: 2 enrollment records collapsed into UHC-69181-75
Enrollment records
2
Member id
UHC-69181-75
MBR-016621
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024175
Duplicate member record retired
Member services
Cynthia Webb: 2 enrollment records collapsed into UHC-82281-99
Enrollment records
2
Member id
UHC-82281-99
MBR-016624
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024176
Duplicate member record retired
Member services
Ronald Bowman: 2 enrollment records collapsed into UHC-77136-60
Enrollment records
2
Member id
UHC-77136-60
MBR-016628
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024177
Duplicate member record retired
Member services
Mariana Meyer: 2 enrollment records collapsed into UHC-90494-02
Enrollment records
2
Member id
UHC-90494-02
MBR-016643
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024178
Duplicate member record retired
Member services
Heather Berry: 2 enrollment records collapsed into UHC-91586-85
Enrollment records
2
Member id
UHC-91586-85
MBR-016668
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024179
Duplicate member record retired
Member services
Jose Holmes: 2 enrollment records collapsed into UHC-99216-44
Enrollment records
2
Member id
UHC-99216-44
MBR-016670
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024180
Duplicate member record retired
Member services
Rachel Murphy: 2 enrollment records collapsed into UHC-45733-41
Enrollment records
2
Member id
UHC-45733-41
MBR-016677
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024181
Duplicate member record retired
Member services
Jacqueline Nunez: 2 enrollment records collapsed into UHC-70312-06
Enrollment records
2
Member id
UHC-70312-06
MBR-016688
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024182
Duplicate member record retired
Member services
Sam Brown: 2 enrollment records collapsed into UHC-13988-27
Enrollment records
2
Member id
UHC-13988-27
MBR-016689
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024183
Duplicate member record retired
Member services
Michael Nunez: 2 enrollment records collapsed into UHC-34718-24
Enrollment records
2
Member id
UHC-34718-24
MBR-016691
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024184
Duplicate member record retired
Member services
Mateo King: 2 enrollment records collapsed into UHC-75351-22
Enrollment records
2
Member id
UHC-75351-22
MBR-016706
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024185
Duplicate member record retired
Member services
Kathryn Hart: 2 enrollment records collapsed into UHC-34576-96
Enrollment records
2
Member id
UHC-34576-96
MBR-016707
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024186
Duplicate member record retired
Member services
Marcus Richards: 2 enrollment records collapsed into UHC-72468-49
Enrollment records
2
Member id
UHC-72468-49
MBR-016716
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024187
Duplicate member record retired
Member services
Nicole Watkins: 2 enrollment records collapsed into UHC-16399-53
Enrollment records
2
Member id
UHC-16399-53
MBR-016731
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024188
Duplicate member record retired
Member services
Jeffrey Cook: 2 enrollment records collapsed into UHC-48436-17
Enrollment records
2
Member id
UHC-48436-17
MBR-016732
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024189
Duplicate member record retired
Member services
Sara Brooks: 2 enrollment records collapsed into UHC-07873-18
Enrollment records
2
Member id
UHC-07873-18
MBR-016749
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024190
Duplicate member record retired
Member services
Diego Ramos: 2 enrollment records collapsed into UHC-23117-92
Enrollment records
2
Member id
UHC-23117-92
MBR-016753
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024191
Duplicate member record retired
Member services
Janice Kelley: 2 enrollment records collapsed into UHC-15572-90
Enrollment records
2
Member id
UHC-15572-90
MBR-016765
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024192
Duplicate member record retired
Member services
Noah Roberts: 2 enrollment records collapsed into UHC-53705-72
Enrollment records
2
Member id
UHC-53705-72
MBR-016768
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024193
Duplicate member record retired
Member services
Frances Jackson: 2 enrollment records collapsed into UHC-00713-56
Enrollment records
2
Member id
UHC-00713-56
MBR-016778
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024194
Duplicate member record retired
Member services
Jacob Pierce: 2 enrollment records collapsed into UHC-39294-12
Enrollment records
2
Member id
UHC-39294-12
MBR-016797
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024195
Duplicate member record retired
Member services
Donald Payne: 2 enrollment records collapsed into UHC-97805-04
Enrollment records
2
Member id
UHC-97805-04
MBR-016800
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024196
Duplicate member record retired
Member services
Gary Gutierrez: 2 enrollment records collapsed into UHC-77619-57
Enrollment records
2
Member id
UHC-77619-57
MBR-016802
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024197
Duplicate member record retired
Member services
Kayla Knight: 3 enrollment records collapsed into UHC-65232-63
Enrollment records
3
Member id
UHC-65232-63
MBR-016805
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024198
Duplicate member record retired
Member services
Ann Hudson: 2 enrollment records collapsed into UHC-45319-60
Enrollment records
2
Member id
UHC-45319-60
MBR-016813
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024199
Duplicate member record retired
Member services
Maria Little: 2 enrollment records collapsed into UHC-16279-83
Enrollment records
2
Member id
UHC-16279-83
MBR-016816
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024200
Duplicate member record retired
Member services
Ashley Rios: 2 enrollment records collapsed into UHC-74612-63
Enrollment records
2
Member id
UHC-74612-63
MBR-016821
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024201
Duplicate member record retired
Member services
Lauren Moreno: 2 enrollment records collapsed into UHC-40660-98
Enrollment records
2
Member id
UHC-40660-98
MBR-016823
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024202
Duplicate member record retired
Member services
Ethan Ramos: 2 enrollment records collapsed into UHC-82654-90
Enrollment records
2
Member id
UHC-82654-90
MBR-016830
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024203
Duplicate member record retired
Member services
Carol Rodriguez: 2 enrollment records collapsed into UHC-46306-66
Enrollment records
2
Member id
UHC-46306-66
MBR-016833
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024204
Duplicate member record retired
Member services
Arthur Guzman: 2 enrollment records collapsed into UHC-34464-25
Enrollment records
2
Member id
UHC-34464-25
MBR-016841
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024205
Duplicate member record retired
Member services
Jesse Moreno: 2 enrollment records collapsed into UHC-10876-97
Enrollment records
2
Member id
UHC-10876-97
MBR-016863
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024206
Duplicate member record retired
Member services
Elijah Wood: 2 enrollment records collapsed into UHC-36510-96
Enrollment records
2
Member id
UHC-36510-96
MBR-016866
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024207
Duplicate member record retired
Member services
Roger Stephens: 2 enrollment records collapsed into UHC-94066-98
Enrollment records
2
Member id
UHC-94066-98
MBR-016868
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024208
Duplicate member record retired
Member services
Ethan Oliver: 2 enrollment records collapsed into UHC-62085-27
Enrollment records
2
Member id
UHC-62085-27
MBR-016869
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024209
Duplicate member record retired
Member services
Virginia Rice: 2 enrollment records collapsed into UHC-60262-09
Enrollment records
2
Member id
UHC-60262-09
MBR-016873
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024210
Duplicate member record retired
Member services
Julia Hudson: 2 enrollment records collapsed into UHC-12835-65
Enrollment records
2
Member id
UHC-12835-65
MBR-016879
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024211
Duplicate member record retired
Member services
Cynthia Ray: 2 enrollment records collapsed into UHC-69471-08
Enrollment records
2
Member id
UHC-69471-08
MBR-016886
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024212
Duplicate member record retired
Member services
Donald Garrett: 2 enrollment records collapsed into UHC-03929-65
Enrollment records
2
Member id
UHC-03929-65
MBR-016889
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024213
Duplicate member record retired
Member services
Alexander Marshall: 2 enrollment records collapsed into UHC-93972-26
Enrollment records
2
Member id
UHC-93972-26
MBR-016900
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024214
Duplicate member record retired
Member services
Vincent Shaw: 2 enrollment records collapsed into UHC-60140-35
Enrollment records
2
Member id
UHC-60140-35
MBR-016903
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024215
Duplicate member record retired
Member services
Christina Stone: 2 enrollment records collapsed into UHC-45212-97
Enrollment records
2
Member id
UHC-45212-97
MBR-016931
Executed
resolution_agent
2026-10-22 12:47:23
ACT-024216
Duplicate member record retired
Member services
Mariana Snyder: 2 enrollment records collapsed into UHC-99299-91
Enrollment records
2
Member id
UHC-99299-91
MBR-016941
Executed
resolution_agent
2026-10-22 12:47:23
4,974 rows, page 51 of 100PreviousNext

Derivation rules

Evaluated after every gold rebuild

  1. 1
    Eligibility conflict resolved
    The records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
  2. 2
    Orphan claim re-pointed
    A claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
  3. 3
    Outreach address corrected
    The most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
  4. 4
    Outreach suppressed pending steward
    The record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
  5. 5
    Care coordination outreach
    Three or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
  6. 6
    New member onboarding
    A single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
  7. 7
    Duplicate member record retired
    Two or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.